I have been working with a 60 y.o. male over the last 9 days who came into the acute care setting w/cellulitis to the LLE which escalated significantly over his stay. Blood cultures came back positive for Streptococcus pyogenes group A. He's been on IV penicillin G and clindamycin. WBC count has finally trended down to normal, erythema has receded, swelling has gone down, and he's been completely asymptomatic - afebrile, no pain, able to ambulate and bear weight without issue. His work up for possible nec. fas. was negative. All testing was negative for any deeper abscesses or pockets. His chronic conditions/PMH include GERD, OSA, gout, essential HTN, obesity, HLD. Clinically he seems to be stable and Infectious Disease will be following him and recommending 14 days of IV antibiotics. I am consulting here due to the severe tissue damage that remains on his leg. Looking to make sure there isn't anything else we are missing, and that at this point he just needs good local wound care and ongoing monitoring of the tissue as it evolves? As of right now there is nothing that shows an obvious need for debridement but we are likely going to have general surgery continue to follow him in case that changes. I have been doing a contact layer of UrgoTul AG f/b non-bordered foam, ABD pads, wrapping with kerlix gauze, and using ACE wrap to hold it all together. This has been working well as the leg continues to weep serous fluid in moderate amount - the high volume has finally decreased. But again just want to get another opinion given how severely damaged the tissue is from this infection.